Physical
Height:
5'11"
(180 cm) |
Weight:
240 lb
(108 kg) |
Eye Color:
Brown
|
Hair:
Black/
Straight |
Skin Tone:
Medium
|
Ancestry:
Asian
|
Blood Type:
A+
|
Ethnic Background:
Korean/Korean
|
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Education:
M.Ed./Organizational Devel.
|
Occupation:
Academic Advisor
|
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Interests:
|
Drawing
|
Medical
Question | Response |
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
Any dietary restrictions? If yes, explain: | No |
Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
CMV IgG Antibody | Negative |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Type II Diabetes not requiring insulin therapy, treated with medication | 53 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 31 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 34 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Cancer, unknown type, no treatment | 65 |
Cause of death: Cancer | 65 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Cancer, unknown type, no treatment | 55 |
Cause of death: Cancer | 55 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Heart attack, fatal, no treatment | 61 |
Cause of death: Heart attack | 61 | |
Living / Dead | Dead |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Heart attack, fatal, no treatment | 58 |
Cause of death: Heart attack | 58 | |
Living / Dead | Dead |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 67 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 85 | |
Health Problem | Type II Diabetes requiring insulin therapy | 65 |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 83 | |
Health Problem | Type II Diabetes requiring insulin therapy | 49 |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Other |
Denomination | Agnostic |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |